Individual
DR. PATRICK T HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1061 HARMON AVE, STE. 1003, FORT STEWART, GA 31314-5641
(912) 435-6933
(912) 435-5966
Mailing address
1061 HARMON AVE, STE. 1003, FORT STEWART, GA 31314-5641
(912) 435-6933
(912) 435-5966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME63921
FL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
ME63921
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME63921
FL
Other
Enumeration date
07/28/2006
Last updated
03/18/2014
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